# DOVE FAMILY DENTISTRY-WHITEHAVEN PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dove Family Dentistry-Whitehaven
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518603265
- **Authorized official:** VICENTA REYES (INTEGRATION COORDINATOR)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 4097 ELVIS PRESLEY BLVD, MEMPHIS, TN 38116-5826
- **Practice address phone:** (901) 425-9449
- **Mailing address:** 4097 ELVIS PRESLEY BLVD, MEMPHIS, TN 38116-5826
- **Mailing address phone:** (901) 425-9449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2022
- **Last updated:** 05/06/2022